Individual provider Active NPI

Miriam Levson

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1033579990
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08534 Issued in MD
Practice address
1121 University Blvd W Apt 605
Silver Spring, MD 20902-3318
Phone
(901) 481-7133
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 025924-1 NY
Speech-Language Pathologist 235Z00000X SL012849 PA
Speech-Language Pathologist 235Z00000X 08534 MD Primary

Addresses

Primary practice location

1121 University Blvd W Apt 605
Silver Spring, MD 20902-3318

Mailing address

1121 University Blvd W Apt 605
Silver Spring, MD 20902-3318
Phone (901) 481-7133

Other practice location 1

6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170823001811 MD Practitioner - Qualified Speech Language Pathologist 8527346097 Reassigns benefits to 1 organization
I20171012002304 DC Practitioner - Qualified Speech Language Pathologist 8527346097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Speech and Cognition, LLCGroup PAC ID 2860892296, 2 clinicians

Practice addresses (Care Compare)

11501 Gilsan St
Silver Spring, MD 20902-3120
Phone (901) 481-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08534MDMDOccupational Therapist
025924-1NYMDSpeech-Language Pathologist
SL012849PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Speech and Cognition, LLC Speech-Language Pathologist CurrentSince Apr 1, 2021 Accepting new patients
Fox Rehab SLP MD LLC Speech-Language Pathologist CurrentSince Aug 21, 2017 Accepting new patients
Fox Rehabilitation Services LLC CurrentSince Aug 21, 2017 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

45 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 868-7121

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1033579990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 UNIVERSITY BLVD W APT 605",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023318",
            "telephone_number": "901-481-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 UNIVERSITY BLVD W APT 605",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023318",
            "telephone_number": "901-481-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6451 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212121010",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVSON",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025924-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012849",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.